Organization Active NPI

Palak B Wall MD PLLC

  • Ophthalmology Physician
  • Lexington, KY
National Provider Identifier
1023427507
Registry record updated Aug 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
47245 Issued in KY
Legal business name
PALAK B WALL MD PLLC
Practice address
120 N Eagle Creek Dr
Lexington, KY 40509-1827
Phone
(614) 565-6088
NPI assigned
Aug 8, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Palak B Wall
Title
MD/Owner
Phone
(614) 565-6088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 47245 KY Primary

Addresses

Primary practice location

120 N Eagle Creek Dr
Lexington, KY 40509-1827

Mailing address

2197 Westmont CT
Lexington, KY 40513-1222
Phone (614) 565-6088

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407456000000",
    "number": "1023427507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2197 WESTMONT CT",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131222",
            "telephone_number": "614-565-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N EAGLE CREEK DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091827",
            "telephone_number": "614-565-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALAK B WALL MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-08",
        "last_updated": "2014-08-08",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "PALAK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "614-565-6088"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "47245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.